#39 Impact Of Covid-19 Pandemi On Mortality Profile Of Pediatric Oncology Patient In Referral Hospital

Abstract

Backgroundcancer patients are at higher risk of COVID-19 infection and more likely to have higher morbidity and mortality than the general population, While cancer it self is still the main cause of death in children around the world, In countries with limited health facilities, that might cause delayed of seeking treatment, cancer death rate in children could reach 90%, this condition would become bigger in the pandemic condition expecially in hospital that appointed as a referral hospital for COVID-19 but also tertiary hospital for hematology and oncology cases. The aim of the study was to describe is there any differences mortality profile of pediatric oncology patient before and during COVID-19 pandemic.Method: we collected data pediatric oncology patient aged 1 to 18 years that admitted to Hasan Sadikin General Hospital from Hospital Information Systems, IP-CAR, and Waiting List of Oncology Ward Hospital Admission, data conducted to differentiate between Admission Rate, New case Diagnosis and abandonment rate before and during COVID-19 pandemic. Mortality data and what might caused it also collected after audited by experts from Hasan Sadikin General Hospital.ResultsThere were 87 death cases from January to Desember 2021 when pandemi has already happened, Acute lymphoblastic leukemia still the main oncology diagnosis for those cases (33%), most of the death cases was caused by septic Shock ((24%), the second leading caused was covid 19 (8%). We also found in our research there was a significantly increased rate of treatment abandonment from 1.1% before to 17% during COVID-19 pandemic. This may pose risk for the patients involved, not only cause treatment failure, increased toxicity or complications.ConclusionPandemic COVID-19 increased abandonment rate that could impact the general condition of oncology patient, that might indirectly related to mortality rate. While infection as the leading causes of death before and after pandemic remain the same but the distinction was the COVID-19 as a second most caused of death. Optimal efforts should be made to avoid abandonment and prevent the occurrence of infection